Dr. Kurt Richard Ellenberger
M.D. | Pediatrics | Male
Dr. Kurt Richard Ellenberger, M.D. is a Beaufort, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kurt Richard Ellenberger is
Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd, Beaufort, South Carolina - 29902. He can be contacted on phone at
843-524-3344 and fax number 844-295-9894.
Dr. Kurt Richard Ellenberger is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kurt Richard Ellenberger is
1053376111 which was assigned by NPPES on 19 Apr, 2006 and it was last updated on 08 May, 2019.
Dr. Kurt Richard Ellenberger license number is
19453 for Pediatrics (208000000X) in South Carolina.
Dr. Kurt Richard Ellenberger is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kurt Richard Ellenberger basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kurt Richard Ellenberger |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Kurt Richard Ellenberger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Beaufort Memorial Express Care & Occupational Health, 974 Ribaut Rd
Beaufort, SC, 29902
United States |
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| Phone Number : | 843-524-3344 |
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| Fax Number : | 844-295-9894 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053376111 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Apr, 2006 |
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| Last Updated On : | 08 May, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kurt Richard Ellenberger are as mentioned. Primary taxonomy code for Dr. Kurt Richard Ellenberger, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19453 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kurt Richard Ellenberger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 194532 | MEDICAID | SC | |
| 19453 | Other | SC | SC LICENSE BOARD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 955 Ribaut Rd, Bmac Credentialing
Beaufort, SC, 29902-5441
United States |
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| Phone Number : | 843-522-5674 |
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| Fax Number : | 843-522-5678 |
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Business Location:
Patients can refer following map for directions to
Dr. Kurt Richard Ellenberger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.